advanced Denial and appeals management

helping healthcare providers

    OVERTURN CHALLENGING CLAIM DENIALS

     protect revenue against Offsets

     Maximize insurance Reimbursement

     

     





claims recovery and denial management                   services

We provide expertise and equip healthcare organizations with skills and resources to address unfair insurance company denial tactics. We offer Advanced Appeal Services, On-site Denial Management Training and Consulting Services designed to exercise a compliant approach to support our Client's Revenue Improvement and Organizational success   Our specialized Multi-level Appeal Services are provided on a contingency basis.

Interested In A Provider 
Based appeal system?

Are you interested in improving and streamlining your appeal Processes?  We have developed a Robust Appeal System to help clients navigate the maze of insurance complexities and address payer denial tactics and audit attempts using a compliant approach.  Our appeal system was developed to streamline and strengthen the appeal process, addressing unfair insurance denial tactics and claims handling processes not in alignment with applicable state and federal mandates.  



Advanced Appeal and Consulting Services 

Understanding that compliance is a two way street, we provide indepth audit reviews on claim related documents and utilize ERISA and other relevant laws to help hold insurance companies accountable to payer claims  handling compliance and requirements.  We focus on assisting our clients in overturning the most  challenging claim denials and offsets  to receive the revenue entitled for services rendered in good faith and improve profitability.

Revenue Cycle Team Appeal & DM TRAINING

Offering On-site educational  Advanced Appeals and Denial Management Training to empower and equip revenue cycle and billing  teams with a broad spectrum of relevant federal and state laws,  as well as other valuable resources, advanced denial management strategies and compliant tips proven to create powerful appeals, combat unfair denials and offsets, address invalid audit attempts and compel claims payment.    

770.378.7178